What is the function of the small bowel?
The gastrointestinal system includes your mouth, esophagus, stomach, small bowel (small intestine), colon (large intestine), rectum, and anus. The basic function of the system is to absorb nutrients and water, and to carry waste products out of the body.
Your small bowel has three parts:
- Duodenum: the part that attaches to the stomach
- Jejunum: the middle part of the small bowel
- Ileum: the part that attaches to the colon (large intestine)
In your small bowel, water and nutrients are absorbed through the intestinal walls. They are absorbed into the blood stream and into the various parts of your body to help your body function. The small bowel does not absorb undigested food and fiber. Instead, it is pushed from the small bowel to the colon, where the body slowly moves it through the colon to the rectum until the body eliminates it through the anus as a bowel movement.
What is intestinal failure?
If your short bowel is damaged by disease or trauma, then you may have intestinal failure. Intestinal failure is the loss of the absorptive capacity of the small bowel.
A common cause for children is short gut syndrome, a congenital disorder in which an infant's intestine is too short or underdeveloped to allow normal food digestion.
Adults with small bowel disease often have undergone prior surgery, had part of the intestine removed, or have developed a problem with the motility of the intestine. These problems require a patient to live on intravenous feeding or TPN (total parenteral nutrition). Among other causes are:
- Abdominal trauma
- Clotting of the blood vessels to the small bowel
- Surgical adhesions
- Surgical resection of the intestine
- Congenital anomalies
- Necrotizing enterocolitis
- Enterocyte disorders, such as microvillous disease or tufting enteropathy
What are the symptoms of small bowel disease?
Most patients with small bowel disease develop diarrhea, dehydration, and require an intravenous line for hydration and nutrition. Patients with motility disorders often experience bloating, abdominal distension and vomiting, and have trouble eating.
How do I manage my small bowel disease?
If your small bowel is not working well enough to absorb the fluid and nutrition you need on a daily basis, you are probably on total parenteral nutrition (TPN). TPN is a liquid filled with all the nutrients your body needs to survive, given through a central line right into the blood stream. By putting nutrients right into the blood stream, TPN does the job of the small bowel. However, this is not a long-term solution for most patients. We may recommend a small bowel transplant.
What if I need a transplant?
Our small bowel transplant team members are dedicated to supporting our transplant patients, from the first steps in their journey, to transplantation, to managing their healthy organ for life.
What is small bowel transplant and how does it help the patient?
Small bowel transplantation is the transplantation of a new intestine to an individual with irreversible intestinal failure. The purpose of this transplant is to restore intestinal function so patients can eat again and not require TPN. It is used to treat intestinal failure when other treatments, such as parenteral nutrition (intravenous tube feeding or TPN) are not successful.
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